Classifications

• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D519/00—Heterocyclic compounds containing more than one system of two or more relevant hetero rings condensed among themselves or condensed with a common carbocyclic ring system not provided for in groups C07D453/00 or C07D455/00
  • C07D519/02—Ergot alkaloids of the cyclic peptide type
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
  • A61P1/08—Drugs for disorders of the alimentary tract or the digestive system for nausea, cinetosis or vertigo; Antiemetics
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P25/00—Drugs for disorders of the nervous system
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P25/00—Drugs for disorders of the nervous system
  • A61P25/06—Antimigraine agents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P25/00—Drugs for disorders of the nervous system
  • A61P25/14—Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
  • A61P25/16—Anti-Parkinson drugs
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P25/00—Drugs for disorders of the nervous system
  • A61P25/24—Antidepressants
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P3/00—Drugs for disorders of the metabolism
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D457/00—Heterocyclic compounds containing indolo [4, 3-f, g] quinoline ring systems, e.g. derivatives of ergoline, of the formula:, e.g. lysergic acid
  • C07D457/04—Heterocyclic compounds containing indolo [4, 3-f, g] quinoline ring systems, e.g. derivatives of ergoline, of the formula:, e.g. lysergic acid with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached in position 8

Definitions

• novel ergoline derivatives and pharmaceutical compositions thereof are provided herein.
• methods of treatment, prevention, or amelioration of a variety of medical disorders such as, for example, migraine using the compounds and compositions disclosed herein.
• methods of agonizing receptors such as, for example, the 5-HTi B and or 5-HTi D receptor using the compounds and compositions disclosed herein.
• methods of antagonizing or inhibiting activity at receptors such as, for example, the 5-HT 2 B receptor using the compounds and compositions disclosed herein.
• provided herein are methods of regulating serotonin transport using the compounds and compositions disclosed herein.
• bioamine neurotransmitters e.g., dopamine, noradrenaline and serotonin
• Developing compounds that are selective or specific for certain specific receptors allows for achievement of desirable therapeutic actions while eliminating or reducing unwanted side effects and accordingly is an important challenge.
• selective serotonin antagonists have been developed for the treatment of migraine and more recently, selective dopamine agonists for the treatment of Parkinson's disease and hyperprolactinemia have been discovered.
• 5-HT2B neurotransmitters receptors are preferable.
• ergoline derivatives which address these and other needs.
• the ergoline derivatives described herein include compounds of structural Formula (I):
• Ri is (C1-C4) alkyl, substituted (C1-C4) alkyl or (C1-C4) perflouroalkyl;
• R2 is alkyl, substituted alkyl, acyl, substituted acyl, halo, heteroalkyl, substituted heteroalkyl, -N0 2 , -N 3 , -OH, -S(O) k Ri 00 , -OR101, -NR102R103, -CONR104R105, -C0 2 Rio6 or -O 2 CRi 07 ;
• R3 and R4 are independently hydrogen, deuterium, fluoro, hydroxy or methoxy
• R5 is hydrogen, (C1-C3) alkyl, substituted (C1-C4) alkyl or (C1-C3) perflouroalkyl;
• R 7 is (C1-C4) alkyl
• R 8 is hydrogen, (C1-C4) alkyl, substituted (C1-C4) alkyl, benzyl or substituted benzyl;
• R 9 is (C1-C4) alkyl or benzyl
• Ri 3 is hydrogen or halogen
• R1 0 1-R11 6 are independently hydrogen, alkyl, substituted alkyl, acyl, substituted acyl, aryl, substituted aryl, arylalkyl, substituted arylalkyl, heteroalkyl, substituted hetereoalkyl, heteroaryl, substituted heteroaryl, heteroarylalkyl or substituted heteroarylalkyl; and
• k 0, 1 or 2;
• n 0, 1, 2 or 3;
• R 8 is not hydrogen and R 9 is not sec-butyl
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R7 is not n-butyl, R 8 is not methyl and R 9 is not methyl;
• R7 is not isopropyl, R 8 is not methyl and R 9 is not benzyl;
• R7 is not isopropyl, R 8 is not hydrogen and R 9 is not n-propyl;
• R7 is not isopropyl, R 8 is not hydrogen and R 9 is not isobutyl;
• R7 is not isopropyl, R 8 is not hydrogen and R 9 is not isopropyl;
• R7 is not ethyl, R 8 is not hydrogen and R 9 is not isobutyl; provided that when Ri and R5 are methyl, R 3 is -OH, R 2 , R4, Rio, R11, R12
• Ri 3 are hydrogen and Re is that:
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not sec -butyl;
• R12 and Ri 3 are hydrogen and that:
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not sec -butyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isopropyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not benzyl;
• R7 is not methyl, Rs is not hydrogen and R 9 is not benzyl;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not sec -butyl;
• R1 3 is bromine and R6 is that
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not isopropyl
• R7 is not isopropyl, R 8 is not hydrogen and R 9 is not isopropyl;
• R7 is not isopropyl
• R 8 is not hydrogen and R 9 is not isobutyl; provided that when Ri is n-propyl, R5 is methyl, R 2 , R 3 , R4, Rio, R11 and
• R12 are hydrogen, R13 is bromine and Re is that:
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isopropyl;
• R1 3 is iodine and R6 is that:
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R 5 is n-propyl, R2, R3, R4, Rio, R11, R12
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not benzyl;
• R7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R 5 is methyl, R 2 , R3, R4, Rio, R11, R12 and
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isopropyl;
• R5 is methyl, R2, R3, R4, Rio, R11, R12
• R7 is not isopropyl
• Rs is not hydrogen
• R 9 is not isopropyl provided that when Ri is (C1-C4) alkyl and R2, R3, R4, Rio, R11, R12 are hydrogen that:
• R12 and Ri 3 are hydrogen and R6 is that:
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isopropyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not benzyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isobutyl; provided that when Ri is CH 2 OCOCH 3 , R 5 is methyl, R 2 , R 3 , R 4 , Rio, Rii
• R7 is not isopropyl, Rs is not hydrogen and R9 is not isobutyl;
• R7 is not isopropyl, Rs is not hydrogen and R9 is not isopropyl;
• R7 is not isopropyl, Rs is not hydrogen and R9 is not benzyl;
• R6 is that:
• R7 is not isopropyl, Rs is not hydrogen and R9 is not isobutyl;
• R7 is not isopropyl, Rs is not hydrogen and R9 is not isopropyl;
• R7 is not isopropyl, Rs is not hydrogen and R9 is not benzyl;
• R 7 is not methyl, R 8 is not hydrogen and R9 is not benzyl;
• R 6 is not I OCO(CH 2 ) 5 CH 3 H or L OCO(CH 2 ) 8 CH 3 H ⁇
• R6 is not provided that when Ri and R5 are methyl and R 2 , R3 and R4 are hydrogen that: R6 is not provided that when Ri and R5 are methyl and
• R 2 , R3 and R4 are hydrogen that: R ⁇ is not
• the ergoline derivatives described herein include compounds of structural Formula
• Ri is (C1-C4) alkyl, substituted (C1-C4) alkyl or (C1-C4) perflouroalkyl;
• R2 is alkyl, substituted alkyl, acyl, substituted acyl, halo, heteroalkyl, substituted heteroalkyl, -N0 2 , -N 3 , -OH, -S(O) k Ri 00 , -OR101, -NR102R103, -CONR104R105, -C0 2 Rio6 or -O 2 CRi 07 ;
• R5 is hydrogen, (C1-C3) alkyl, substituted (C1-C3) alkyl, or (C1-C3) perflouroalkyl;
• R 7 is (C1-C4) alkyl;
• Rs is hydrogen, (C1-C4) alkyl, substituted (C1-C4) alkyl, benzyl or substituted benzyl;
• R 9 is (C1-C4) alkyl or benzyl
• Ri 3 is hydrogen or halogen
• R1 0 1-R11 6 are independently hydrogen, alkyl, substituted alkyl, acyl, substituted acyl, aryl, substituted aryl, arylalkyl, substituted arylalkyl, heteroalkyl, substituted hetereoalkyl, heteroaryl, substituted heteroaryl, heteroarylalkyl or substituted heteroarylalkyl; and
• k 0, 1 or 2;
• n 0, 1, 2 or 3;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not benzyl;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not isobutyl;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not sec -butyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isobutyl;
• R7 is not ethyl, R 8 is not hydrogen and R 9 is not isobutyl;
• R7 is not ethyl, R 8 is not hydrogen and R 9 is not isopropyl;
• R7 is not isopropyl, Rs is not hydrogen and R9 is not isopropyl;
• R7 is not n-propyl, Rs is not methyl and R 9 is not methyl;
• R7 is not isopropyl, Rs is not methyl and R 9 is not benzyl;
• R7 is not ethyl, R 8 is not hydrogen and R 9 is not benzyl; rovided that when Ri is allyl, R 5 is methyl, R 2 , Rio, Rii, R12 and R1 3 are
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not sec -butyl.
• compositions containing the compounds provided herein and a vehicle are also provided.
• Methods of treating, preventing, or ameliorating medical disorders such as, for example, migraine, ALS, Parkinson's disease, extra-pyramidal disorders, depression, nausea, restless legs syndrome, insomnia, aggression, Huntington's disease, dystonia, parsomnia and hyperlactinemia are also provided herein.
• effective amounts of the compounds or compositions containing therapeutically effective concentrations of the compounds are administered.
• Methods of antagonizing receptors such as, for example, 5-HT 2 A, 5-HT 2B , 5-HT 3 serotonin, D2 and D3 dopamine and Al and A2 adrenergic receptors are also provided herein.
• effective amounts of the compounds or compositions are administered.
• agonizing receptors such as, for example, 5-HTi D , 5-HTi B ,
• 5-HTIF serotonin receptors are also provided herein .
• effective amounts of the compounds or compositions are administered.
• the method comprises contacting dihydroergotamine with alkaline metal in an organic solvent or a mixture of organic solvents to form a solution and contacting this solution with a halide selected from the group consisting of benzyl halide, methyl halide, ethyl halide, w-propyl halide, isopropyl halide, w-butyl halide, isobutyl halide, sec-butyl halide and allyl halide.
• a halide selected from the group consisting of benzyl halide, methyl halide, ethyl halide, w-propyl halide, isopropyl halide, w-butyl halide, isobutyl halide, sec-butyl halide and allyl halide.
• FIG. 1 illustrates the inability of 1-methyl-dihydroergotamine to agonize the 5-HT 2 B receptor and provides a comparison to known agonists of the 5-HT 2 B receptor;
• FIG. 2 illustrates the ability of 1-methyl-dihydroergotamine to antagonize the 5-HT 2B receptor;
• FIG. 3 illustrates the ability of 1-methyl-dihydroergotamine to agonize the 5-HTiA receptor
• FIG. 4 illustrates the ability of 1-methyl-dihydroergotamine to antagonize the 5-HT 7 receptor
• FIG. 5 illustrates the ability of 1-methyl-dihydroergotamine to agonize the 5-HTiB receptor
• FIG. 6 illustrates the ability of 1-methyl-dihydroergotamine to agonize the 5-HTiD receptor.
• Alkyl by itself or as part of another substituent, refers to a saturated or unsaturated, branched, straight-chain or cyclic monovalent hydrocarbon radical derived by the removal of one hydrogen atom from a single carbon atom of a parent alkane, alkene or alkyne.
• Typical alkyl groups include, but are not limited to, methyl; ethyls such as ethanyl, ethenyl, ethynyl; propyls such as propan-l-yl, propan-2-yl, cyclopropan-l-yl, prop-l-en-l-yl, prop-l-en-2-yl, prop-2-en-l-yl (allyl), cycloprop-l-en-l-yl; cycloprop-2-en-l-yl, prop-l-yn-l-yl, prop-2-yn-l-yl, etc.; butyls such as butan-l-yl, butan-2-yl, 2-methyl-propan-l-yl,
• alkyl is specifically intended to include groups having any degree or level of saturation, i.e., groups having exclusively single carbon-carbon bonds, groups having one or more double carbon-carbon bonds, groups having one or more triple carbon-carbon bonds and groups having mixtures of single, double and triple carbon-carbon bonds. Where a specific level of saturation is intended, the expressions "alkanyl,” “alkenyl,” and “alkynyl” are used.
• an alkyl group comprises from 1 to 20 carbon atoms (C1-C2 0 alkyl). In other embodiments, an alkyl group comprises from 1 to 10 carbon atoms (C1-C1 0 alkyl). In still other embodiments, an alkyl group comprises from 1 to 6 carbon atoms (C1-C6 alkyl).
• alkanyl by itself or as part of another substituent, refers to a saturated branched, straight-chain or cyclic alkyl radical derived by the removal of one hydrogen atom from a single carbon atom of a parent alkane.
• Typical alkanyl groups include, but are not limited to, methanyl; ethanyl; propanyls such as propan-l-yl, propan-2-yl (isopropyl), cyclopropan- 1 -yl, etc. ; butanyls such as butan-l-yl, butan-2-yl (sec-butyl), 2-methyl-propan- 1 -yl (isobutyl),
• Alkenyl by itself or as part of another substituent, refers to an unsaturated branched, straight-chain or cyclic alkyl radical having at least one carbon-carbon double bond derived by the removal of one hydrogen atom from a single carbon atom of a parent alkene.
• the group may be in either the cis or trans conformation about the double bond(s).
• Typical alkenyl groups include, but are not limited to, ethenyl; propenyls such as prop-l-en-l-yl, prop-l-en-2-yl, prop-2-en-l-yl (allyl), prop-2-en-2-yl, cycloprop-l-en-l-yl; cycloprop-2-en-l-yl; butenyls such as but-l-en-l-yl, but-l-en-2-yl, 2-methyl-prop-l-en-l-yl, but-2-en-l-yl , but-2-en-l-yl, but-2-en-2-yl, buta-l,3-dien-l-yl,
• Alkynyl by itself or as part of another substituent refers to an unsaturated branched, straight-chain or cyclic alkyl radical having at least one carbon-carbon triple bond derived by the removal of one hydrogen atom from a single carbon atom of a parent alkyne.
• Typical alkynyl groups include, but are not limited to, ethynyl; propynyls such as prop-l-yn-l-yl, prop-2-yn-l-yl, etc.; butynyls such as but-l-yn-l-yl, but-l-yn-3-yl, but-3-yn-l-yl, etc. ; and the like.
• Alkoxy by itself or as part of another substituent, refers to a radical of the formula -O-R 400 , where R 400 is alkyl or substituted alkyl as defined herein.
• Acyl by itself or as part of another substituent refers to a radical
• R 401 is hydrogen, alkyl, substituted alkyl, aryl, substituted aryl, arylalkyl, substituted arylalkyl, heteroalkyl, substituted heteroalkyl,
• heteroarylalkyl or substituted heteroarylalkyl as defined herein include, but are not limited to formyl, acetyl, cyclohexylcarbonyl, cyclohexylmethylcarbonyl, benzoyl, benzylcarbonyl and the like.
• Aryl by itself or as part of another substituent, refers to a monovalent aromatic hydrocarbon group derived by the removal of one hydrogen atom from a single carbon atom of a parent aromatic ring system, as defined herein.
• Typical aryl groups include, but are not limited to, groups derived from aceanthrylene, acenaphthylene, acephenanthrylene, anthracene, azulene, benzene, chrysene, coronene, fluoranthene, fluorene, hexacene, hexaphene, hexalene, as-indacene, s-indacene, indane, indene, naphthalene, octacene, octaphene, octalene, ovalene, penta-2,4-diene, pentacene, pentalene, pentaphene, perylene, phenalene, phen
• an aryl group comprises from 6 to 20 carbon atoms (C6-C20 aryl). In other embodiments, an aryl group comprises from 6 to 15 carbon atoms (C6-C 15 aryl). In still other embodiments, an aryl group comprises from 6 to 15 carbon atoms (C6-C 10 aryl).
• Arylalkyl by itself or as part of another substituent, refers to an acyclic alkyl group in which one of the hydrogen atoms bonded to a carbon atom, typically a terminal or sp 3 carbon atom, is replaced with an aryl group as, as defined herein.
• Typical arylalkyl groups include, but are not limited to, benzyl, 2-phenylethan-l-yl, 2-phenylethen-l-yl, naphthylmethyl, 2-naphthylethan-l-yl, 2-naphthylethen-l-yl, naphthobenzyl, 2-naphthophenylethan-l-yl and the like.
• an arylalkyl group is (C6-C30) arylalkyl, e.g. , the alkanyl, alkenyl or alkynyl moiety of the arylalkyl group is (C1-C10) alkyl and the aryl moiety is (C6-C20) aryl.
• the alkanyl, alkenyl or alkynyl moiety of the arylalkyl group is (C1-C10) alkyl and the aryl moiety is (C6-C20) aryl.
• an arylalkyl group is (C6-C2 0 ) arylalkyl, e.g. , the alkanyl, alkenyl or alkynyl moiety of the arylalkyl group is (Ci-Cs) alkyl and the aryl moiety is
• an arylalkyl group is (C6-C15) arylalkyl, e.g. , the alkanyl, alkenyl or alkynyl moiety of the arylalkyl group is (C1-C5) alkyl and the aryl moiety is (C6-C1 0 ) aryl.
• Compounds refers to compounds encompassed by structural formulae disclosed herein and includes any specific compounds within these formulae whose structure is disclosed herein. Compounds may be identified either by their chemical structure and/or chemical name. When the chemical structure and chemical name conflict, the chemical structure is determinative of the identity of the compound.
• the compounds described herein may contain one or more chiral centers and/or double bonds and therefore, may exist as stereoisomers, such as double-bond isomers (i.e. , geometric isomers), enantiomers or diastereomers. Accordingly, the chemical structures depicted herein encompass all possible enantiomers and stereoisomers of the illustrated compounds including the stereoisomerically pure form (e.g. , geometrically pure, enantiomerically pure or diastereomerically pure) and enantiomeric and stereoisomeric mixtures.
• Enantiomeric and stereoisomeric mixtures can be resolved into their component enantiomers or stereoisomers using separation techniques or chiral synthesis techniques well known to the skilled artisan.
• the compounds may also exist in several tautomeric forms including the enol form, the keto form and mixtures thereof. Accordingly, the chemical structures depicted herein encompass all possible tautomeric forms of the illustrated compounds.
• the compounds described also include isotopically labeled compounds where one or more atoms have an atomic mass different from the atomic mass conventionally found in nature. Examples of isotopes that may be incorporated into the compounds of the invention include, but are not limited to, 2 H, 3 H, 13 C, 14 C, 15 N, 18 0, 17 0, etc.
• Compounds may exist in unsolvated or unhydrated forms as well as solvated forms, including hydrated forms and as N-oxides. In general, compounds may be hydrated, solvated or N-oxides. Certain compounds may exist in multiple crystalline or amorphous forms. In general, all physical forms are equivalent for the uses contemplated herein and are intended to be within the scope of the present invention. Further, it should be understood, when partial structures of the compounds are illustrated, that brackets indicate the point of attachment of the partial structure to the rest of the molecule.
• Halo by itself or as part of another substituent refers to a radical -F, -CI, -Br or -I.
• Heteroalkyl refers to alkyl, alkanyl, alkenyl and alkynyl groups, respectively, in which one or more of the carbon atoms (and optionally any associated hydrogen atoms), are each, independently of one another, replaced with the same or different heteroatoms or heteroatomic groups.
• Typical heteroatoms or heteroatomic groups which can replace the carbon atoms include, but are not limited to, -0-, -S-, -N-, -Si-, -NH-, -S(O)-, -S(0) 2 -,
• heteroatoms or heteroatomic groups may be placed at any interior position of the alkyl, alkenyl or alkynyl groups.
• cycloheteroalkyl substituted cycloheteroalkyl, heteroalkyl, substituted heteroalkyl, heteroaryl, substituted heteroaryl, heteroarylalkyl or substituted heteroarylalkyl.
• Heteroaryl by itself or as part of another substituent, refers to a monovalent heteroaromatic radical derived by the removal of one hydrogen atom from a single atom of a parent heteroaromatic ring systems, as defined herein.
• Typical heteroaryl groups include, but are not limited to, groups derived from acridine, ⁇ -carboline, chromane, chromene, cinnoline, furan, imidazole, indazole, indole, indoline, indolizine, isobenzofuran, isochromene, isoindole, isoindoline, isoquinoline, isothiazole, isoxazole, naphthyridine, oxadiazole, oxazole, perimidine, phenanthridine, phenanthroline, phenazine, phthalazine, pteridine, purine, pyran, pyrazine, pyrazole,
• the heteroaryl group comprises from 5 to 20 ring atoms (5-20 membered heteroaryl). In other embodiments, the heteroaryl group comprises from 5 to 10 ring atoms (5-10 membered heteroaryl).
• Exemplary heteroaryl groups include those derived from furan, thiophene, pyrrole, benzothiophene, benzofuran, benzimidazole, indole, pyridine, pyrazole, quinoline, imidazole, oxazole, isoxazole and pyrazine.
• Heteroarylalkyl by itself or as part of another substituent refers to an acyclic alkyl group in which one of the hydrogen atoms bonded to a carbon atom, typically a terminal or sp 3 carbon atom, is replaced with a heteroaryl group.
• heteroarylalkyl group is a 6-21 membered heteroarylalkyl, e.g., the alkanyl, alkenyl or alkynyl moiety of the heteroarylalkyl is (Ci-Ce) alkyl and the heteroaryl moiety is a 5-15-membered heteroaryl.
• the heteroarylalkyl is a 6-13 membered heteroarylalkyl, e.g., the alkanyl, alkenyl or alkynyl moiety is (C1-C3) alkyl and the heteroaryl moiety is a 5-10 membered heteroaryl.
• Parent aromatic ring system refers to an unsaturated cyclic or polycyclic ring system having a conjugated ⁇ electron system.
• parent aromatic ring system fused ring systems in which one or more of the rings are aromatic and one or more of the rings are saturated or unsaturated, such as, for example, fluorene, indane, indene, phenalene, etc.
• Typical parent aromatic ring systems include, but are not limited to, aceanthrylene, acenaphthylene, acephenanthrylene, anthracene, azulene, benzene, chrysene, coronene, fluoranthene, fluorene, hexacene, hexaphene, hexalene, os-indacene, s-indacene, indane, indene, naphthalene, octacene, octaphene, octalene, ovalene, penta-2,4-diene, pentacene, pentalene, pentaphene, perylene, phenalene, phenanthrene, picene, pleiadene, pyrene, pyranthrene, rubicene, triphenylene, trinaphthalene and the like.
• Parent Heteroaromatic Ring System refers to a parent aromatic ring system in which one or more carbon atoms (and optionally any associated hydrogen atoms) are each independently replaced with the same or different heteroatom. Typical heteroatoms to replace the carbon atoms include, but are not limited to, N, P, O, S, Si, etc. Specifically included within the definition of "parent heteroaromatic ring system” are fused ring systems in which one or more of the rings are aromatic and one or more of the rings are saturated or unsaturated, such as, for example, benzodioxan, benzofuran, chromane, chromene, indole, indoline, xanthene, etc.
• Typical parent heteroaromatic ring systems include, but are not limited to, arsindole, carbazole, ⁇ -carboline, chromane, chromene, cinnoline, furan, imidazole, indazole, indole, indoline, indolizine, isobenzofuran, isochromene, isoindole, isoindoline, isoquinoline, isothiazole, isoxazole, naphthyridine, oxadiazole, oxazole, perimidine, phenanthridine, phenanthroline, phenazine, phthalazine, pteridine, purine, pyran, pyrazine, pyrazole, pyridazine, pyridine, pyrimidine, pyrrole, pyrrolizine, quinazoline, quinoline, quinolizine, quinoxaline, tetrazole, thi
• Preventing refers to a reduction in risk of acquiring a disease or disorder (i.e., causing at least one of the clinical symptoms of the disease not to develop in a patient that may be exposed to or predisposed to the disease but does not yet experience or display symptoms of the disease).
• the application of a therapeutic for preventing or prevention of a diease of disorder is known as 'prophylaxis.
• the compounds provided herein provide superior prophylaxis because of lower long term side effects over long time periods.
• Protecting group refers to a grouping of atoms that when attached to a reactive functional group in a molecule masks, reduces or prevents reactivity of the functional group during chemical synthesis. Examples of protecting groups can be found in Green et al, “Protective Groups in Organic Chemistry", (Wiley, 2 nd ed. 1991) and Harrison et al, “Compendium of Synthetic Organic Methods", Vols. 1-8 (John Wiley and Sons, 1971-1996).
• amino protecting groups include, but are not limited to, formyl, acetyl, trifluoroacetyl, benzyl, benzyloxycarbonyl ("CBZ”), tert-butoxycarbonyl ("Boc”), trimethylsilyl
• TMS 2-trimethylsilyl-ethanesulfonyl
• SES 2-trimethylsilyl-ethanesulfonyl
• trityl and substituted trityl groups allyloxycarbonyl, 9-fluorenylmethyloxycarbonyl (“FMOC”), nitro-veratryloxycarbonyl (“NVOC”) and the like.
• Representative hydroxy protecting groups include, but are not limited to, those where the hydroxy group is either acylated or alkylated such as benzyl, and trityl ethers as well as alkyl ethers, tetrahydropyranyl ethers, trialkylsilyl ethers and allyl ethers.
• Salt refers to a salt of a compound, which possesses the desired pharmacological activity of the parent compound.
• Such salts include: (1) acid addition salts, formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like; or formed with organic acids such as acetic acid, propionic acid, hexanoic acid, cyclopentanepropionic acid, glycolic acid, pyruvic acid, lactic acid, malonic acid, succinic acid, malic acid, maleic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, 3-(4-hydroxybenzoyl) benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, 1 ,2-ethane-disulfonic acid,
• a metal ion e.g., an alkali metal ion, an alkaline earth ion, or an aluminum ion
• coordinates with an organic base such as ethanolamine, diethanolamine, triethanolamine, N-methylglucamine and the like.
• Substituted when used to modify a specified group or radical, means that one or more hydrogen atoms of the specified group or radical are each, independently of one another, replaced with the same or different substituent(s).
• substituent groups useful for substituting unsaturated carbon atoms in the specified group or radical include, but are not limited to, -R a , halo,
• Substituent groups useful for substituting nitrogen atoms in heteroalkyl and cycloheteroalkyl groups include, but are not limited to, -R a , -O " , -OR b , -SR b , -S " , -NR C R C , trihalomethyl, -CF 3 , -CN, -NO, -N0 2 , -S(0) 2 R b , -S(0) 2 0 " ,
• the substituents used to substitute a specified group can be further substituted, typically with one or more of the same or different groups selected from the various groups specified above.
• Subject refers to a vertebrate, preferably a mammal. Mammals include, but are not limited to, murines, rodents, simians, humans, farm animals, sport animals and pets.
• Treating” or “treatment” of any disease or disorder refers, in some embodiments, to ameliorating the disease or disorder (i.e., arresting or reducing the development of the disease or at least one of the clinical symptoms thereof,). Treatment may also be considered to include preemptive or prophylactic administration to ameliorate, arrest or prevent the development of the disease or at least one of the clinical symptoms. In a further feature the treatment rendered has lower potential for longterm side effects over multiple years. In other embodiments “treating” or “treatment” refers to ameliorating at least one physical parameter, which may not be discernible by the patient. In yet other
• treating refers to inhibiting the disease or disorder, either physically, (e.g., stabilization of a discernible symptom), physiologically, (e.g., stabilization of a physical parameter) or both.
• treating or “treatment” refers to delaying the onset of the disease or disorder.
• “Therapeutically effective amount” means the amount of a compound that, when administered to a patient for treating a disease, is sufficient to effect such treatment for the disease.
• the “therapeutically effective amount” will vary depending on the compound, the disease and its severity and the age, weight, adsorption, distribution, metabolism and excretion etc., of the patient to be treated.
• Vehicle refers to a diluent, excipient or carrier with which a compound is administered to a subject.
• Ri is (C1-C4) alkyl, substituted (C1-C4) alkyl or (C1-C4) perflouroalkyl;
• R2 is alkyl, substituted alkyl, acyl, substituted acyl, halo, heteroalkyl, substituted heteroalkyl, -N0 2 , -N 3 , -OH, -S(O) k Ri 00 , -OR101, -NR102R103, -CONR104R105, -C0 2 Rio6 or -O 2 CRi 07 ;
• R3 and R4 are independently hydrogen, deuterium, fluoro, hydroxy or methoxy
• R5 is hydrogen, (C1-C3) alkyl, substituted (C1-C4) alkyl or (C1-C3) perflouroalkyl;
• R 7 is (C1-C4) alkyl
• Rs is hydrogen, (C1-C4) alkyl, substituted (C1-C4) alkyl, benzyl or substituted benzyl;
• R 9 is (C1-C4) alkyl or benzyl
• Ri 3 is hydrogen or halogen
• R1 0 1-R11 6 are independently hydrogen, alkyl, substituted alkyl, acyl, substituted acyl, aryl, substituted aryl, arylalkyl, substituted arylalkyl, heteroalkyl, substituted hetereoalkyl, heteroaryl, substituted heteroaryl, heteroarylalkyl or substituted heteroarylalkyl; and
• k 0, 1 or 2;
• n 0, 1, 2 or 3;
• n Ri and R5 are methyl, R 2 , R3, R4, Rio, R11, R12 and R13
• R6 is that: R 7 is not methyl, R 8 is not hydrogen and Rg is not sec-butyl;
• R 7 is not methyl, R 8 is not hydrogen and Rg is not benzyl;
• R7 is not n-butyl, R 8 is not methyl and R 9 is not methyl;
• R7 is not isopropyl, R 8 is not methyl and R 9 is not benzyl;
• R7 is not isopropyl, R 8 is not hydrogen and R 9 is not n-propyl;
• R7 is not isopropyl, R 8 is not hydrogen and R 9 is not isobutyl;
• R7 is not isopropyl, R 8 is not hydrogen and R 9 is not isopropyl;
• R7 is not ethyl, R 8 is not hydrogen and R 9 is not isobutyl;
• R6 is that:
• R7 is not methyl, R 8 is not hydrogen and R 9 is not sec -butyl;
• R 3 is -OCH 3 , R 2 , R4, Rio, R11,
• R12 and Ri 3 are hydrogen and R6 is that:
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not sec -butyl;
• R7 is not isopropyl, R 8 is not hydrogen and R 9 is not isopropyl;
• R7 is not isopropyl, R 8 is not hydrogen and R9 is not benzyl;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not sec -butyl;
• R13 is bromine and Re is that R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not isopropyl
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isopropyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isobutyl;
• R5 is methyl, R 2 , R 3 , R 4 , Rio, R11 and
• R1 3 is bromine and R6 is
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isopropyl;
• R1 3 is iodine and R6 is
• R7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R 5 is n-propyl, R2, R3, R4, Rio, R11, R12
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not benzyl;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• Ri is not allyl
• R 5 is methyl, R 2 , R3, R4, Rio, R11, R12 and
• Ri 3 are hydrogen and R6 is that:
• R7 is not isopropyl, Rs is not hydrogen and R9 is not isopropyl;
• R5 is methyl, R 2 , R3, R4, Rio, R11, R12
• R7 is not isopropyl
• Rs is not hydrogen
• R 9 is not isopropyl provided that when Ri is (C1-C4) alkyl and R2, R3, R4, Rio, R11, R12 and Ri 3 are hydrogen that:
• R12 and Ri 3 are hydrogen and R6 is that:
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isopropyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not benzyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isobutyl; provided that when Ri is CH 2 OCOCH 3 , R 5 is methyl, R 2 , R 3 , R 4 , Rio, Rii
• R7 is not isopropyl, Rs is not hydrogen and R9 is not isobutyl;
• R7 is not isopropyl, Rs is not hydrogen and R9 is not isopropyl;
• R7 is not isopropyl, Rs is not hydrogen and R9 is not benzyl;
• R6 is that:
• R7 is not isopropyl, Rs is not hydrogen and R9 is not isobutyl;
• R7 is not isopropyl, Rs is not hydrogen and R9 is not isopropyl;
• R7 is not isopropyl, Rs is not hydrogen and R9 is not benzyl;
• R 7 is not methyl, R 8 is not hydrogen and R9 is not benzyl;
• R 6 is not I OCO(CH 2 ) 5 CH 3 H or L OCO(CH 2 ) 8 CH 3 H ⁇
• R6 is not provided that when Ri and R5 are methyl and R 2 , R3 and R4 are hydrogen that: R6 is not provided that when Ri and R5 are methyl and
• R 2 , R3 and R4 are hydrogen that: R ⁇ is not
• Ri is (C1-C3) alkyl, (C1-C3) substituted alkyl or (C1-C3) perfluoroalkyl. In other embodiments, Ri is (C1-C4) alkyl or (C1-C4) perfluoroalkyl. In still other embodiments, Ri is -CH 3 ,-C2H5,-C 3 H7, Z-C 3 H7, -CF 3 ,-C2F 5 ,-C 3 F 7 or Z-C 3 F7. In still other embodiments, Ri is -CH 3 , -C2H 5 ,-C 3 H 7 , -CF 3 , -C 2 F 5 or -C 3 F 7 .
• R2 is (C1-C4) alkyl, (C1-C4) substituted alkyl, (C1-C4) acyl, (C1-C4) substituted acyl, halo, (C1-C4) heteroalkyl, (C1-C4) substituted heteroalkyl, -N0 2 , -N 3 , -OH, -S(O) k Ri 00 , -OR101, -NR102R103, -CONR104R105, -CO2R106 or -O2CR107.
• R2 is (C1-C4) alkyl, (C1-C4) substituted alkyl, (C1-C4) acyl, (C1-C4) substituted acyl, halo, -N0 2 , -OR101, -NR102R103, -CONR104R105, -CO2R106 or -O2CR107.
• R2 is (C1-C2) alkyl, (C1-C2) substituted alkyl, halo, -N0 2 , -OR101, -NR102R103, -CONR104R105, -CO2R106 or -02CRio7-
• n is 0 or 1. In other embodiments, n is 0.
• R4 is hydrogen. In other embodiments, R 3 and R4 are hydrogen. In still other embodiments, R 3 and R4 are deuterium.
• R5 is -CH 3 , -C2H 5 ,-C 3 H 7 , -CF 3 , -C2F5 or -C 3 F7. In other embodiments, R5 is -CFI -CF3.
• R7 is methyl, ethyl or isopropyl.
• Rs is hydrogen or methyl.
• R9 is n-propyl, isopropyl, sec -butyl, isobutyl or benzyl.
• Rio, R11 and R12 are independently hydrogen, OH or (C1-C4) alkyl. In other embodiments, Rio, R11 and R12 are hydrogen.
• R1 3 is hydrogen or bromine.
• Ri is (C1-C4) alkyl or (C1-C4) perfluoroalkyl and Ri 3 is hydrogen or bromine.
• Ri is -CH 3 , -C2H5, -C 3 H7,-C 3 H7, -CF 3 , -C2F5, -C 3 F7 or -C 3 F7 and R1 3 is hydrogen or bromine.
• Ri is (C1-C4) alkyl or (C1-C4) perfluoroalkyl and
• R7 is methyl, ethyl or ispropyl
• Rs is hydrogen or methyl
• R 9 is n-propyl, isopropyl, sec -butyl, isobutyl or benzyl.
• Rio, R11 and R12 are
• n is 0 or 1. In still other of the above embodiments, n is 0. In still other of the above embodiments, R 3 and R4 are deuterium. In still other of the above embodiments, n is 0. In still other of the above embodiments, R 3 and R4 are hydrogen.
• Ri is -CH 3 , -C2H5, -C 3 H7, Z-C 3 H7, -CF 3 , -C2F5,
• R7 is methyl, ethyl or ispropyl
• Rs is hydrogen or methyl
• R 9 is n-propyl, isopropyl, sec -butyl, isobutyl or benzyl.
• Rio, R11 and R12 are independently hydrogen, OH or (C1-C4) alkyl. In still other of the above embodiments, Rio, R11 and R12 are hydrogen.
• R2 is (C1-C2) alkyl, (C1-C2) substituted alkyl, halo, -N0 2 , -OR101, -NR102R103, -CONR104R105, -CO2R106 or -O2CR107.
• n is 0 or 1.
• n is 0.
• R 3 and R4 are deuterium.
• n is 0.
• R 3 and R4 are hydrogen.
• Ri is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)
• R 2 is (C1-C4) alkyl, (Ci-C 4 ) substituted alkyl, (Ci-C 4 ) acyl, (Ci-C 4 ) substituted acyl, halo, -N0 2 , -OR101, -NR102R103, -CONRi 04 Rio5, -CO 2 Ri 06 or -O 2 CRi 07 , n is 0 or 1, R 3 and R4 are independently hydrogen or deuterium, R 5 is -CH 3 , -C 2 H 5 ,-C 3 H 7 , -CF 3 , C 2 F 5 or
• Re is , Rio, R11 and Ri 2 are independently hydrogen, OH or (Ci-C 4 ) alkyl; and R1 3 is hydrogen or bromine
• Ri is CH 3 ,
• R 2 is Ci-C 2 ) alkyl, (Ci-C 2 ) substituted alkyl, halo, -NO2, -OR101, -NRi 02 Rio3, -CONRi 04 Rio5, -CO 2 Ri 06 or -O 2 CRi 07 , n is 0; R 3 an R4 are independently hydrogen or deuterium, R 5 is -CH 3 or -CF 3 , 5 is
• R 7 is methyl, ethyl or isopropyl
• Rs is hydrogen or methyl
• R 9 is M-propyl, isopropyl, sec -butyl, isobutyl or benzyl
• Rio, R11 and Ri 2 are hydrogen
• R1 3 is hydrogen.
• Ri is (C1-C4) alkyl, substituted (C1-C4) alkyl or (C1-C4) perflouroalkyl;
• R2 is alkyl, substituted alkyl, acyl, substituted acyl, halo, heteroalkyl, substituted heteroalkyl, -N0 2 , -N 3 , -OH, -S(O) k Ri 00 , -OR101, -NR102R103, -CONR104R105, -C0 2 Rio6 or -O 2 CRi 07 ;
• R5 is hydrogen, (C1-C3) alkyl, substituted (C1-C3) alkyl, or (C1-C3) perflouroalkyl;
• R 7 is (C1-C4) alkyl
• Rs is hydrogen, (C1-C4) alkyl, substituted (C1-C4) alkyl, benzyl or substituted benzyl;
• R9 is (C1-C4) alkyl or benzyl
• Ri 3 is hydrogen or halogen
• R1 0 1-R11 6 are independently hydrogen, alkyl, substituted alkyl, acyl, substituted acyl, aryl, substituted aryl, arylalkyl, substituted arylalkyl, heteroalkyl, substituted hetereoalkyl, heteroaryl, substituted heteroaryl, heteroarylalkyl or substituted heteroarylalkyl; and
• k 0, 1 or 2;
• n 0, 1, 2 or 3;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not benzyl;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not isobutyl;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not sec -butyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isobutyl;
• R7 is not ethyl, R 8 is not hydrogen and R 9 is not isobutyl;
• R7 is not ethyl, R 8 is not hydrogen and R 9 is not isopropyl;
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not isopropyl;
• R7 is not n-propyl, Rs is not methyl and R 9 is not methyl;
• R7 is not isopropyl, Rs is not methyl and R 9 is not benzyl;
• R7 is not ethyl, R 8 is not hydrogen and R 9 is not benzyl;
• R 7 is not methyl, R 8 is not hydrogen and R 9 is not benzyl;
• n Ri is CH 2 OH
• R 5 is methyl, R 2 , Rio, R 11 , R 12 and R 13
• R6 is that:
• Ri is C R 2 , Rio, Rn,and Ri 2 are
• R 13 is bromine and R6 is
• R7 is not isopropyl, Rs is not hydrogen and R 9 is not sec -butyl.
• Ri is (C 1 -C3) alkyl, (C 1 -C3) substituted alkyl or (C1-C3) perfluoroalkyl. In other embodiments, Ri is (C1-C4) alkyl or (C1-C4) perfluoroalkyl. In still other embodiments, Ri is -CH 3 ,-C 2 H 5 ,-C 3 H 7 , -C 3 H7,
• Ri is CH 3 , -C 2 H 5 ,-C 3 H 7 , -CF 3 , C 2 F 5 or -C 3 F 7 .
• R 2 is (C 1 -C4) alkyl, (C 1 -C4) substituted alkyl, (C 1 -C4) acyl, (C 1 -C4) substituted acyl, halo, (C 1 -C4) heteroalkyl, (C 1 -C4) substituted heteroalkyl, -N0 2 , -N 3 , -OH, -S(O) k Ri 00 , -OR101, -NRi 02 Rio3,
• R 2 is (C1-C4) alkyl, (C 1 -C4) substituted alkyl, (C 1 -C4) acyl, (C 1 -C4) substituted acyl, halo, -N0 2 , -OR101, -NRi 02 Rio3, -CONR104R105, -CO 2 Ri 06 or -O 2 CRi 07 .
• R 2 is (Ci-C 2 ) alkyl, (Ci-C 2 ) substituted alkyl, halo, -N0 2 , -OR 101 , -NRi 02 Rio3, -CONR104R105, -C0 2 Rio6 or -O 2 CRi 07 .
• n is 0 or 1. In other embodiments, n is 0.
• R5 is -CH 3 , -C 2 H 5 ,-C 3 H 7 , -CF 3 , C 2 F 5 or -C 3 F 7 .
• R5 is -CH3 or -CF3.
• R-6 is .
• R7 is methyl, ethyl or isopropyl.
• Rs is hydrogen or methyl.
• R9 is n-propyl, isopropyl, sec -butyl, isobutyl or benzyl.
• Rio, R11 and R12 are independently hydrogen, OH or (C1-C4) alkyl. In other embodiments, Rio, R11 and R12 are hydrogen.
• R1 3 is hydrogen or bromine.
• Ri is (C1-C4) alkyl or (C1-C4) perfluoroalkyl and Ri 3 is hydrogen or bromine. In other embodiments, Ri is -CH 3 , -C2H5, -C 3 H7, Z-C 3 H7, -CF 3 , -C2F5, -C 3 F7 or -C 3 F7 and R1 3 is hydrogen or bromine.
• Ri is (C1-C4) alkyl or (C1-C4) perfluoroalkyl and
• R7 is methyl, ethyl or ispropyl
• Rs is hydrogen or methyl
• R 9 is n-propyl, isopropyl, sec -butyl, isobutyl or benzyl.
• Rio, R11 and R12 are
• n is 0 or 1. In still other of the above embodiments, n is 0. I In still other of the above embodiments, n is 0. In some -C2H5, -C 3 H7, -C 3 H7, -CF 3 , -C2F5,
• R7 is methyl, ethyl or ispropyl
• Rs is hydrogen or methyl
• R 9 is n-propyl, isopropyl, sec -butyl, isobutyl or benzyl.
• Rio, R11 and R12 are independently hydrogen, OH or (C1-C4) alkyl. In still other of the above embodiments, Rio, R11 and R12 are hydrogen.
• R2 is (C1-C2) alkyl, (C1-C2) substituted alkyl, halo, -N0 2 , -OR101, -NR102R103, -CONR104R105, -CO2R106 or -O2CR107.
• n is 0 or 1. In still other of the above embodiments, n is 0. In still other of the above embodiments, n is 0.
• Ri is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)
• R 2 is (C1-C4) alkyl, (C1-C4) substituted alkyl, (C1-C4) acyl, (C1-C4) substituted acyl, halo, -N0 2 , -OR101, -NR102R103, -CONR104R105, -CO2R106 or -O2CR107, n is 0 or 1, Rs is -CH 3 ,
• R 6 is , R 10 , Rn and R i2 are independently hydrogen, OH or (C1-C4) alkyl; and R13 is hydrogen or bromine
• Ri is CH 3 ,
• R 2 is C1-C2) alkyl, (d-C 2 ) substituted alkyl, halo, -NO2, -OR101, -NR102R103, -CONR104R105, -C0 2 Rio6 or -O 2 CRi 07 ; n is 0, R 5
• R13 is hydrogen.
• Exemplary compound of Formula (I) include the compounds in the table below:
• Carboxylic acids (IV) and (V) can be prepared by methods well known to those of skill in the art.
• a method of making a compound of structural formula (III) includes a step of contacting
• alkyl halide selected from the group consisting of benzyl halide, substituted benzyl halide, allyl halide, homallyl halide, substituted allyl halide, methyl halide, ethyl halide, propyl halide, isopropyl halide, butyl halide, isobutyl halide and sec-butyl halide to provide the compound of Formula (III) below.
• Ri is benzyl, substituted benzyl, allyl, substituted allyl, homoallyl, methyl, ethyl, w-propyl, isopropyl, w-butyl, isobutyl or sec-butyl.
• the halide is iodide. In other embodiments, the halide is dissolved in a solvent. In still other embodiments, the solvent is diethyl ether. In still other embodiments, the halide is added dropwise over a period of time.
• the organic solvent or mixture of organic solvents is a mixture of liquid ammonia, absolute ethanol and ether. In other words,
• the temperature of alkaline metal in the organic solvent or the mixture of organic solvents is between about -78 °C and about -50 °C. In still other embodiments, the temperature of alkaline metal in the organic solvent or the mixture of organic solvents is about -78 °C. In still other embodiments, the alkaline metal is sodium.
• the ratio of liquid ammonia, ether and absolute ethanol is between about 8:2: 1 and about 5: 1 : 1. In other embodiments, the ratio of liquid ammonia, ether and absolute ethanol is about 6.5: 1.33 : 1. In still other embodiments, the molar ratio of alkaline metal to dihydroergotamine is between about 20: 1 and about 5: 1. In still other embodiments, the molar ratio of alkaline metal to dihydroergotamine is about 10: 1. In still other embodiments, the molar ratio of alkyl halide to dihydroergotamine is between about 10: 1 and about 2.5: 1. In still other embodiments, the molar ratio of alkyl halide to dihydroergotamine is about 5: 1.
• the alkyl halide is methyl iodide
• the alkaline metal is sodium
• the ratio of liquid ammonia, ether and absolute ethanol is about 6.5: 1.33: 1
• the temperature of sodium in liquid ammonia, ether and absolute ethanol is about -78 °C
• the molar ratio of sodium to dihydroergotamine is about 10: 1
• the molar ratio of methyl halide to dihydroergotamine is about 5: 1.
• methyl iodide is dissolved in diethyl ether and added dropwise over about a 15 minute period.
• compositions provided herein contain therapeutically effective amounts of one or more of the compounds provided herein that are useful in the prevention, treatment, or amelioration of one or more of the symptoms of diseases or disorders described herein and a pharmaceutically acceptable vehicle.
• Pharmaceutical vehicles suitable for administration of the compounds provided herein include any such carriers known to those skilled in the art to be suitable for the particular mode of administration.
• the compounds may be formulated as the sole
• composition pharmaceutically active ingredient in the composition or may be combined with other active ingredients.
• compositions contain one or more compounds provided herein.
• the compounds are, in some embodiments, formulated into suitable pharmaceutical preparations such as solutions, suspensions, tablets, dispersible tablets, pills, capsules, powders, sustained release formulations or elixirs, for oral
• the compounds described above are formulated into pharmaceutical compositions using techniques and procedures well known in the art (see, e.g., Ansel Introduction to Pharmaceutical Dosage Forms, Seventh Edition (1999).
• compositions effective concentrations of one or more compounds or pharmaceutically acceptable derivatives thereof is (are) mixed with a suitable pharmaceutical vehicle.
• the compounds may be derivatized as the corresponding salts, esters, enol ethers or esters, acetals, ketals, orthoesters, hemiacetals, hemiketals, acids, bases, solvates, ion-pairs, hydrates or prodrugs prior to formulation, as described above.
• concentrations of the compounds in the compositions are effective for delivery of an amount, upon administration that treats, leads to prevention, or amelioration of one or more of the symptoms of diseases or disorders described herein.
• the compositions are formulated for single dosage administration. To formulate a composition, the weight fraction of a compound is dissolved, suspended, dispersed or otherwise mixed in a selected vehicle at an effective concentration such that the treated condition is relieved, prevented, or one or more symptoms are ameliorated.
• the active compound is included in the pharmaceutically acceptable vehicle in an amount sufficient to exert a therapeutically useful effect in the absence of undesirable side effects on the patient treated.
• the therapeutically effective concentration may be determined empirically by testing the compounds in in vitro and in vivo systems well known to those of skill in the art and then extrapolated therefrom for dosages for humans. Human doses are then typically fine-tuned in clinical trials and titrated to response.
• the concentration of active compound in the pharmaceutical composition will depend on absorption, inactivation and excretion rates of the active compound, the physicochemical characteristics of the compound, the dosage schedule, and amount administered as well as other factors known to those of skill in the art. For example, the amount that is delivered is sufficient to ameliorate one or more of the symptoms of diseases or disorders as described herein.
• a therapeutically effective dosage should produce a serum concentration of active ingredient of from about 0.001 ng/ml to about 50-200 ⁇ g/ml.
• the pharmaceutical compositions in other embodiments, should provide a dosage of from about 0.0001 mg to about 70 mg of compound per kilogram of body weight per day.
• Pharmaceutical dosage unit forms are prepared to provide from about 0.01 mg, 0.1 mg or 1 mg to about 500 mg, 1000 mg or 5000 mg, and in some embodiments from about 10 mg to about 500 mg of the active ingredient or a combination of essential ingredients per dosage unit form.
• the active ingredient may be administered at once, or may be divided into a number of smaller doses to be administered at intervals of time.
• the precise dosage and duration of treatment is a function of the disease being treated and may be determined empirically using known testing protocols or by extrapolation from in vivo or in vitro test data or subsequent clinical testing. It is to be noted that concentrations and dosage values may also vary with the severity of the condition to be alleviated. It is to be further understood that for any particular subject, specific dosage regimens should be adjusted over time according to the individual need and the professional judgment of the person administering or supervising the administration of the compositions and that the concentration ranges set forth herein are exemplary only and are not intended to limit the scope or practice of the claimed compositions.
• solubilizing compounds such as use of liposomes, prodrugs, complexation/chelation, nanoparticles, or emulsions or tertiary templating.
• methods for solubilizing compounds include, but are not limited to, using co-solvents, such as dimethylsulfoxide (DMSO), using surfactants or surface modifiers, such as TWEEN ® , or dissolution by enhanced ionization (i.e. dissolving in aqueous sodium bicarbonate).
• co-solvents such as dimethylsulfoxide (DMSO)
• surfactants or surface modifiers such as TWEEN ®
• dissolution by enhanced ionization i.e. dissolving in aqueous sodium bicarbonate
• Derivatives of the compounds, such as prodrugs of the compounds may also be used in formulating effective pharmaceutical compositions.
• the resulting mixture may be a solution, suspension, emulsion or the like.
• the form of the resulting mixture depends upon a number of factors, including the intended mode of administration and the solubility of the compound in the selected vehicle.
• the effective concentration is sufficient for ameliorating the symptoms of the disease, disorder or condition treated and may be empirically determined.
• compositions are provided for administration to humans and animals in unit dosage forms, such as dry powder inhalers (DPIs), pressurized metered dose inhalers (pMDIs), nebulizers, tablets, capsules, pills, sublingual tapes/bioerodible strips, tablets or capsules, powders, granules, lozenges, lotions, salves, suppositories, fast melts, transdermal patches or other transdermal application devices/preparations, sterile parenteral solutions or suspensions, and oral solutions or suspensions, and oil-water emulsions containing suitable quantities of the compounds or pharmaceutically acceptable derivatives thereof.
• DPIs dry powder inhalers
• pMDIs pressurized metered dose inhalers
• nebulizers tablets, capsules, pills, sublingual tapes/bioerodible strips, tablets or capsules
• powders granules
• lozenges powders, granules, lozenges, lotions, salves,
• the pharmaceutically therapeutically active compounds and derivatives thereof are, in some embodiments, formulated and administered in unit-dosage forms or multiple-dosage forms.
• Unit-dose forms as used herein refer to physically discrete units suitable for human and animal subjects and packaged individually as is known in the art. Each unit-dose contains a predetermined quantity of the therapeutically active compound sufficient to produce the desired therapeutic effect, in association with the required pharmaceutical vehicle. Examples of unit-dose forms include ampoules and syringes and individually packaged tablets or capsules. Unit-dose forms may be administered in fractions or multiples thereof.
• a multiple-dose form is a plurality of identical unit-dosage forms packaged in a single container to be administered in segregated unit-dose form. Examples of multiple-dose forms include vials, bottles of tablets or capsules or bottles of pints or gallons. Hence, multiple dose form is a multiple of unit-doses which are not segregated in packaging.
• Liquid pharmaceutically administrable compositions can, for example, be prepared by dissolving, dispersing, or otherwise mixing an active compound as defined above and optional pharmaceutical adjuvants in a vehicle, such as, for example, water, saline, aqueous dextrose, glycerol, glycols, ethanol, and the like, to thereby form a solution or suspension, colloidal dispersion, emulsion or liposomal formulation.
• a vehicle such as, for example, water, saline, aqueous dextrose, glycerol, glycols, ethanol, and the like, to thereby form a solution or suspension, colloidal dispersion, emulsion or liposomal formulation.
• the pharmaceutical composition to be administered may also contain minor amounts of nontoxic auxiliary substances such as wetting agents, emulsifying agents, solubilizing agents, pH buffering agents and the like, for example, acetate, sodium citrate, cyclodextrin derivatives, sorbitan monolaurate, triethanolamine sodium acetate, triethanolamine oleate, and other such agents.
• nontoxic auxiliary substances such as wetting agents, emulsifying agents, solubilizing agents, pH buffering agents and the like, for example, acetate, sodium citrate, cyclodextrin derivatives, sorbitan monolaurate, triethanolamine sodium acetate, triethanolamine oleate, and other such agents.
• dosage forms or compositions containing active ingredient in the range of 0.005% to 100% with the balance made up from vehicle or carrier may be prepared. Methods for preparation of these compositions are known to those skilled in the art.
• the contemplated compositions may contain 0.001%-100% active ingredient, in one embodiment 0.1-95%, in another embodiment 0.4-10%.
• the compositions are lactose-free compositions containing excipients that are well known in the art and are listed, for example, in the U.S. Pharmacopeia (USP) 25-NF20 (2002).
• lactose-free compositions contains active ingredients, a binder/filler, and a lubricant in pharmaceutically compatible and pharmaceutically acceptable amounts.
• Particular lactose-free dosage forms contain active ingredients, microcrystalline cellulose, pre-gelatinized starch, and magnesium stearate.
• anhydrous pharmaceutical compositions and dosage forms comprising active ingredients, since water can facilitate the degradation of some compounds.
• water e.g., 5%
• water is widely accepted in the pharmaceutical arts as a means of simulating long-term storage in order to determine characteristics such as shelf-life or the stability of
• Anhydrous pharmaceutical compositions and dosage forms provided herein can be prepared using anhydrous or low moisture containing ingredients and low moisture or low humidity conditions.
• anhydrous pharmaceutical composition should be prepared and stored such that its anhydrous nature is maintained. Accordingly, anhydrous compositions are generally packaged using materials known to prevent exposure to water such that they can be included in suitable formulary kits. Examples of suitable packaging include, but are not limited to, hermetically sealed foils, plastics, unit dose containers (e.g., vials), blister packs, and strip packs.
• Oral pharmaceutical dosage forms are either solid, gel or liquid. The solid dosage forms are tablets, capsules, granules, and bulk powders. Types of oral tablets include compressed, chewable lozenges and tablets which may be enteric -coated, sugar-coated or film-coated. Capsules may be hard or soft gelatin capsules, while granules and powders may be provided in non-effervescent or effervescent form with the combination of other ingredients known to those skilled in the art.
• the formulations are solid dosage forms such as for example, capsules or tablets.
• the tablets, pills, capsules, troches and the like can contain one or more of the following ingredients, or compounds of a similar nature: a binder; a lubricant; a diluent; a glidant; a disintegrating agent; a coloring agent; a sweetening agent; a flavoring agent; a wetting agent; an enteric coating; a film coating agent and modified release agent.
• binders include microcrystalline cellulose, gum tragacanth, glucose solution, acacia mucilage, gelatin solution, molasses, polyvinylpyrrolidine, povidone, crospovidones, sucrose and starch and starch derivatives.
• Lubricants include talc, starch, magnesium/calcium stearate, lycopodium and stearic acid.
• Diluents include, for example, lactose, sucrose, starch, kaolin, salt, mannitol and dicalcium phosphate.
• Glidants include, but are not limited to, colloidal silicon dioxide.
• Disintegrating agents include crosscarmellose sodium, sodium starch glycolate, alginic acid, corn starch, potato starch, bentonite, methylcellulose, agar and
• Coloring agents include, for example, any of the approved certified water soluble FD and C dyes, mixtures thereof; and water insoluble FD and C dyes suspended on alumina hydrate and advanced coloring or anti-forgery color/opalescent additives known to those skilled in the art.
• Sweetening agents include sucrose, lactose, mannitol and artificial sweetening agents such as saccharin, and any number of spray dried flavors.
• Flavoring agents include natural flavors extracted from plants such as fruits and synthetic blends of compounds which produce a pleasant sensation or mask unpleasant taste, such as, but not limited to peppermint and methyl salicylate.
• Wetting agents include propylene glycol monostearate, sorbitan monooleate, diethylene glycol monolaurate and polyoxyethylene laural ether.
• Enteric -coatings include fatty acids, fats, waxes, shellac, ammoniated shellac and cellulose acetate phthalates.
• Film coatings include hydroxyethylcellulose, sodium
• Modified release agents include polymers such as the Eudragit ® series and cellulose esters.
• the compound, or pharmaceutically acceptable derivative thereof can be provided in a composition that protects it from the acidic environment of the stomach.
• the composition can be formulated in an enteric coating that maintains its integrity in the stomach and releases the active compound in the intestine.
• the composition may also be formulated in combination with an antacid or other such ingredient.
• the dosage unit form When the dosage unit form is a capsule, it can contain, in addition to material of the above type, a liquid carrier such as a fatty oil.
• dosage unit forms can contain various other materials which modify the physical form of the dosage unit, for example, coatings of sugar and other enteric agents.
• the compounds can also be administered as a component of an elixir, suspension, syrup, wafer, sprinkle, chewing gum or the like.
• a syrup may contain, in addition to the active compounds, sucrose as a sweetening agent and certain preservatives, dyes and colorings and flavors.
• the active materials can also be mixed with other active materials which do not impair the desired action, or with materials that supplement the desired action, such as antacids, H2 blockers, and diuretics.
• the active ingredient is a compound or pharmaceutically acceptable derivative thereof as described herein. Higher concentrations, up to about 98% by weight of the active ingredient may be included.
• tablets and capsules formulations may be coated as known by those of skill in the art in order to modify or sustain dissolution of the active ingredient.
• they may be coated with a conventional enterically digestible coating, such as phenyls alicy late, waxes and cellulose acetate phthalate.
• Liquid oral dosage forms include aqueous solutions, emulsions, suspensions, solutions and/or suspensions reconstituted from non-effervescent granules and effervescent preparations reconstituted from effervescent granules.
• Aqueous solutions include, for example, elixirs and syrups.
• Emulsions are either oil-in-water or water-in-oil.
• Elixirs are clear, sweetened, hydroalcoholic preparations.
• compositions used in elixirs include solvents.
• Syrups are concentrated aqueous solutions of a sugar, for example, sucrose, and may contain a preservative.
• An emulsion is a two-phase system in which one liquid is dispersed in the form of small globules throughout another liquid.
• Pharmaceutically acceptable carriers used in emulsions are non-aqueous liquids, emulsifying agents and preservatives. Suspensions use pharmaceutically acceptable suspending agents and preservatives. Pharmaceutically acceptable substances used in non-effervescent granules, to be reconstituted into a liquid oral dosage form, include diluents, sweeteners and wetting agents. Pharmaceutically acceptable substances used in effervescent granules, to be reconstituted into a liquid oral dosage form, include organic acids and a source of carbon dioxide. Coloring and flavoring agents are used in all of the above dosage forms.
• Solvents include glycerin, sorbitol, ethyl alcohol and syrup.
• preservatives include glycerin, methyl and propylparaben, benzoic acid, sodium benzoate and alcohol.
• non-aqueous liquids utilized in emulsions include mineral oil and cottonseed oil.
• emulsifying agents include gelatin, acacia, tragacanth, bentonite, and surfactants such as polyoxyethylene sorbitan monooleate.
• Suspending agents include sodium carboxymethylcellulose, pectin, tragacanth, Veegum and acacia.
• Sweetening agents include sucrose, syrups, glycerin and artificial sweetening agents such as saccharin.
• Wetting agents include propylene glycol monostearate, sorbitan monooleate, diethylene glycol monolaurate and polyoxyethylene lauryl ether.
• Organic acids include citric and tartaric acid.
• Sources of carbon dioxide include sodium bicarbonate and sodium carbonate.
• Coloring agents include any of the approved certified water soluble FD and C dyes, and mixtures thereof.
• Flavoring agents include natural flavors extracted from plants such fruits, and synthetic blends of compounds which produce a pleasant taste sensation.
• the solution or suspension in for example, propylene carbonate, vegetable oils or triglycerides, is in some embodiments encapsulated in a gelatin capsule.
• a gelatin capsule Such solutions, and the preparation and encapsulation thereof, are disclosed in U.S. Patent Nos. 4,328,245; 4,409,239; and 4,410,545.
• the solution e.g., for example, in a polyethylene glycol, may be diluted with a sufficient quantity of a
• liquid vehicle e.g., water
• liquid or semi-solid oral formulations may be prepared by dissolving or dispersing the active compound or salt in vegetable oils, glycols, triglycerides, propylene glycol esters (e.g., propylene carbonate) and other such carriers, and encapsulating these solutions or suspensions in hard or soft gelatin capsule shells.
• Other useful formulations include those set forth in U.S. Patent Nos. RE28,819 and 4,358,603.
• such formulations include, but are not limited to, those containing a compound provided herein, a dialkylated mono- or poly-alkylene glycol, including, but not limited to, 1 ,2-dimethoxyethane, diglyme, triglyme, tetraglyme, polyethylene glycol-350-dimethyl ether, polyethylene glycol-550-dimethyl ether, polyethylene glycol-750-dimethyl ether wherein 350, 550 and 750 refer to the approximate average molecular weight of the polyethylene glycol, and one or more antioxidants, such as butylated hydroxytoluene (BHT), butylated hydroxyanisole (BHA), propyl gallate, vitamin E, hydroquinone, hydroxycoumarins, ethanolamine, lecithin, cephalin, ascorbic acid, malic acid, sorbitol, phosphoric acid, thiodipropionic acid and its esters, and dithiocarbamates.
• BHT buty
• formulations include, but are not limited to, aqueous alcoholic solutions including a pharmaceutically acceptable acetal.
• Alcohols used in these formulations are any pharmaceutically acceptable water-miscible solvents having one or more hydroxyl groups, including, but not limited to, propylene glycol and ethanol.
• Acetals include, but are not limited to, di(lower alkyl) acetals of lower alkyl aldehydes such as acetaldehyde diethyl acetal.
• injectables can be prepared in conventional forms, either as liquid solutions or suspensions, solid forms suitable for solution or suspension in liquid prior to injection, or as emulsions.
• the injectables, solutions and emulsions also contain one or more excipients. Suitable excipients are, for example, water, saline, dextrose, glycerol or ethanol.
• compositions to be administered may also contain minor amounts of non-toxic auxiliary substances such as wetting or emulsifying agents, pH buffering agents, stabilizers, solubility enhancers, and other such agents, such as for example, sodium acetate, sorbitan monolaurate, triethanolamine oleate and cyclodextrins.
• auxiliary substances such as wetting or emulsifying agents, pH buffering agents, stabilizers, solubility enhancers, and other such agents, such as for example, sodium acetate, sorbitan monolaurate, triethanolamine oleate and cyclodextrins.
• a compound provided herein is dispersed in a solid inner matrix, e.g., polymethylmethacrylate, polybutylmethacrylate, plasticized or unplasticized polyvinylchloride, plasticized nylon, plasticized polyethyleneterephthalate, natural rubber, polyisoprene, polyisobutylene, polybutadiene, polyethylene, ethylene-vinylacetate copolymers, silicone rubbers, polydimethylsiloxanes, silicone carbonate copolymers, hydrophilic polymers such as hydrogels of esters of acrylic and methacrylic acid, collagen, cross-linked polyvinylalcohol and cross-linked partially hydrolyzed polyvinyl acetate, that is surrounded by an outer polymeric membrane, e.g., polyethylene, poly
• ethylene/vinylacetate copolymers silicone rubbers, polydimethyl siloxanes, neoprene rubber, chlorinated polyethylene, polyvinylchloride, vinylchloride copolymers with vinyl acetate, vinylidene chloride, ethylene and propylene, ionomer polyethylene terephthalate, butyl rubber epichlorohydrin rubbers, ethylene/vinyl alcohol copolymer, ethylene/vinyl acetate/vinyl alcohol terpolymer, and ethylene/vinyloxyethanol copolymer, that is insoluble in body fluids.
• the compound diffuses through the outer polymeric membrane in a release rate controlling step.
• the percentage of active compound contained in such parenteral compositions is highly dependent on the specific nature thereof, as well as the activity of the compound and the needs of the subject.
• Parenteral administration of the compositions includes intravenous, subcutaneous and intramuscular administrations.
• Preparations for parenteral administration include sterile solutions ready for injection, sterile dry soluble products, such as lyophilized powders, ready to be combined with a solvent just prior to use, including hypodermic tablets, sterile suspensions ready for injection, sterile dry insoluble products ready to be combined with a vehicle just prior to use and sterile emulsions.
• the solutions may be either aqueous or nonaqueous.
• suitable carriers include physiological saline or phosphate buffered saline (PBS), and solutions containing thickening and solubilizing agents, such as glucose, polyethylene glycol, and polypropylene glycol and mixtures thereof.
• PBS physiological saline or phosphate buffered saline
• thickening and solubilizing agents such as glucose, polyethylene glycol, and polypropylene glycol and mixtures thereof.
• Pharmaceutically acceptable vehicles used in parenteral preparations include aqueous vehicles, nonaqueous vehicles, antimicrobial agents, isotonic agents, buffers, antioxidants, local anesthetics, suspending and dispersing agents, emulsifying agents, sequestering or chelating agents and other pharmaceutically acceptable substances.
• aqueous vehicles examples include Sodium Chloride Injection, Ringers Injection, Isotonic Dextrose Injection, Sterile Water Injection, Dextrose and Lactated Ringers Injection.
• Nonaqueous parenteral vehicles include fixed oils of vegetable origin, cottonseed oil, corn oil, sesame oil and peanut oil.
• Antimicrobial agents in bacteriostatic or fungistatic concentrations must be added to parenteral preparations packaged in multiple-dose containers which include phenols or cresols, mercurials, benzyl alcohol, chlorobutanol, methyl and propyl p-hydroxybenzoic acid esters, thimerosal, benzalkonium chloride and
• benzethonium chloride benzethonium chloride.
• Isotonic agents include sodium chloride and dextrose. Buffers include phosphate and citrate. Antioxidants include sodium bisulfate. Local anesthetics include procaine hydrochloride.
• Suspending and dispersing agents include sodium carboxymethylcelluose, hydroxypropyl methylcellulose and polyvinylpyrrolidone.
• Emulsifying agents include Polysorbate 80 (Tween ® 80). A sequestering or chelating agent of metal ions includes EDTA.
• Pharmaceutical carriers also include ethyl alcohol, polyethylene glycol and propylene glycol for water miscible vehicles; and sodium hydroxide,
• hydrochloric acid citric acid or lactic acid for pH adjustment.
• the unit-dose parenteral preparations are packaged in an ampoule, a vial or a syringe with a needle. All preparations for parenteral administration must be sterile, as is known and practiced in the art.
• intravenous or intraarterial infusion of a sterile aqueous solution containing an active compound is an effective mode of administration.
• Another embodiment is a sterile aqueous or oily solution or suspension containing an active material injected as necessary to produce the desired pharmacological effect.
• Injectables are designed for local and systemic administration.
• a therapeutically effective dosage is formulated to contain a concentration of at least about 0.01% w/w up to about 90% w/w or more, in certain embodiments more than 0.1% w/w of the active compound to the treated tissue(s).
• the compound may be suspended in micronized or other suitable form or may be derivatized to produce a more soluble active product or to produce a prodrug.
• the form of the resulting mixture depends upon a number of factors, including the intended mode of administration and the solubility of the compound in the selected carrier or vehicle.
• the effective concentration is sufficient for ameliorating the symptoms of the condition and may be empirically determined.
• Active ingredients provided herein can be administered by controlled release means or by delivery devices that are well known to those of ordinary skill in the art. Examples include, but are not limited to, those described in U.S. Patent Nos.: 3,845,770; 3,916,899; 3,536,809; 3,598, 123; 4,008,719; 5,674,533; 5,059,595; 5,591,767; 5, 120,548; 5,073,543; 5,639,476; 5,354,556; 5,639,480; 5,733,566; 5,739, 108; 5,891,474; 5,922,356; 5,972,891; 5,980,945; 5,993,855; 6,045,830; 6,087,324; 6, 113,943; 6, 197,350; 6,248,363; 6,264,970; 6,267,981 ; 6,376,461; 6,419,961 ; 6,589,548; 6,613,358; 6,699,500 and 6,740
• Such dosage forms can be used to provide slow or controlled-release of one or more active ingredients using, for example, hydroxypropylmethyl cellulose, other polymer matrices, gels, permeable membranes, osmotic systems, multilayer coatings, microparticles, liposomes, microspheres, or a combination thereof to provide the desired release profile in varying proportions.
• active ingredients for example, hydroxypropylmethyl cellulose, other polymer matrices, gels, permeable membranes, osmotic systems, multilayer coatings, microparticles, liposomes, microspheres, or a combination thereof to provide the desired release profile in varying proportions.
• controlled-release formulations known to those of ordinary skill in the art, including those described herein, can be readily selected for use with the active ingredients provided herein.
• All controlled-release pharmaceutical products have a common goal of improving drug therapy over that achieved by their non-controlled counterparts.
• the use of an optimally designed controlled-release preparation in medical treatment is characterized by a minimum of drug substance being employed to cure or control the condition in a minimum amount of time.
• controlled-release formulations include extended activity of the drug, reduced dosage frequency, and increased patient compliance.
• controlled-release formulations can be used to affect the time of onset of action or other characteristics, such as blood levels of the drug, and can thus affect the occurrence of side (e.g., adverse) effects.
• Most controlled-release formulations are designed to initially release an amount of drug (active ingredient) that promptly produces the desired therapeutic effect, and gradually and continually release of other amounts of drug to maintain this level of therapeutic or prophylactic effect over an extended period of time.
• Controlled-release of an active ingredient can be stimulated by various conditions including, but not limited to, pH, temperature, enzymes, water, or other physiological conditions or compounds.
• the agent may be administered using intravenous infusion, an implantable osmotic pump, a transdermal patch, liposomes, or other modes of administration.
• a pump may be used (see,
• a controlled release system can be placed in proximity of the therapeutic target, i.e., thus requiring only a fraction of the systemic dose (see, e.g., Goodson, Medical Applications of Controlled Release, vol. 2, pp. 115-138 (1984).
• a controlled release device is introduced into a subject in proximity of the site of inappropriate immune activation or a tumor.
• the active ingredient can be dispersed in a solid inner matrix, e.g., polymethylmethacrylate, polybutylmethacrylate, plasticized or unplasticized polyvinylchloride, plasticized nylon, plasticized polyethyleneterephthalate, natural rubber, polyisoprene, polyisobutylene, polybutadiene, polyethylene, ethylene-vinylacetate copolymers, silicone rubbers, polydimethylsiloxanes, silicone carbonate copolymers, hydrophilic polymers such as hydrogels of esters of acrylic and methacrylic acid, collagen, cross-linked polyvinylalcohol and cross-linked partially hydrolyzed polyvinyl acetate, that is surrounded by an outer polymeric membrane, e.g., polyethylene, polypropylene, ethylene/propylene copolymers, ethylene/ethyl acrylate copolymers, ethylene/viny
• a solid inner matrix e.g., polymethylmethacrylate, polybuty
• ethylene/vinyloxyethanol copolymer that is insoluble in body fluids.
• the active ingredient then diffuses through the outer polymeric membrane in a release rate controlling step.
• the percentage of active ingredient contained in such parenteral compositions is highly dependent on the specific nature thereof, as well as the needs of the subject.
• the sterile, lyophilized powder is prepared by dissolving a compound provided herein, or a pharmaceutically acceptable derivative thereof, in a suitable solvent.
• the solvent may contain an excipient which improves the stability or other pharmacological component of the powder or reconstituted solution, prepared from the powder.
• Excipients that may be used include, but are not limited to, an antioxidant, a buffer and a bulking agent.
• the excipient is selected from dextrose, sorbital, fructose, corn syrup, xylitol, glycerin, glucose, sucrose and other suitable agent.
• the solvent may contain a buffer, such as citrate, sodium or potassium phosphate or other such buffer known to those of skill in the art at, at about neutral pH.
• the resulting solution will be apportioned into vials for lyophilization.
• Each vial will contain a single dosage or multiple dosages of the compound.
• the lyophilized powder can be stored under appropriate conditions, such as at about 4 °C to room temperature.
• Reconstitution of this lyophilized powder with water for injection provides a formulation for use in parenteral administration.
• the lyophilized powder is added to sterile water or other suitable carrier. The precise amount depends upon the selected compound. Such amount can be empirically determined.
• Topical mixtures are prepared as described for the local and systemic administration.
• the resulting mixture may be a solution, suspension, emulsions or the like and are formulated as creams, gels, ointments, emulsions, solutions, elixirs, lotions, suspensions, tinctures, pastes, foams, aerosols, irrigations, sprays, suppositories, bandages, dermal patches or any other formulations suitable for topical administration.
• the compounds or pharmaceutically acceptable derivatives thereof may be formulated as aerosols for topical application, such as by inhalation (see, e.g., U.S. Patent Nos. 4,044, 126, 4,414,209, and 4,364,923, which describe aerosols for delivery of a steroid useful for treatment of inflammatory diseases, particularly asthma).
• These formulations for administration to the respiratory tract can be in the form of an aerosol or solution for a nebulizer, or as a microfine powder for insufflation, alone or in combination with an inert carrier such as lactose. In such a case, the particles of the formulation will, in some
• embodiments have mass median geometric diameters of less than 5 microns, in other embodiments less than 10 microns.
• the compounds may be formulated for local or topical application, such as for topical application to the skin and mucous membranes, such as in the eye, in the form of gels, creams, and lotions and for application to the eye or for intracisternal or intraspinal application.
• Topical administration is contemplated for transdermal delivery and also for administration to the eyes or mucosa, or for inhalation therapies. Nasal solutions of the active compound alone or in combination with other pharmaceutically acceptable excipients can also be administered.
• the preparation may contain an esterified phosphonate compound dissolved or suspended in a liquid carrier, in particular, an aqueous carrier, for aerosol application.
• a liquid carrier in particular, an aqueous carrier
• the carrier may contain solubilizing agents such as propylene glycol, surfactants, absorption enhancers such as lecithin or cyclodextrin, or preservatives.
• solutions particularly those intended for ophthalmic use, may be formulated as 0.01% - 10% isotonic solutions, pH about 5-7.4, with appropriate salts.
• transdermal patches including iontophoretic and electrophoretic devices, and rectal administration, are also contemplated herein.
• Transdermal patches including iotophoretic and electrophoretic devices, are well known to those of skill in the art.
• such patches are disclosed in U.S. Patent Nos. 6,267,983, 6,261,595, 6,256,533, 6, 167,301, 6,024,975, 6,010715, 5,985,317, 5,983, 134, 5,948,433, and 5,860,957.
• rectal suppositories are used herein mean solid bodies for insertion into the rectum which melt or soften at body temperature releasing one or more pharmacologically or therapeutically active ingredients.
• Pharmaceutically acceptable substances utilized in rectal suppositories are bases or vehicles and agents to raise the melting point. Examples of bases include cocoa butter (theobroma oil), glycerin-gelatin, carbowax (polyoxyethylene glycol) and appropriate mixtures of mono-, di- and triglycerides of fatty acids. Combinations of the various bases may be used.
• Agents to raise the melting point of suppositories include spermaceti and wax. Rectal suppositories may be prepared either by the compressed method or by molding. The weight of a rectal suppository, in one embodiment, is about 2 to 3 gm. Tablets and capsules for rectal administration are manufactured using the same pharmaceutically acceptable substance and by the same methods as for formulations for oral administration.
• the compounds provided herein, or pharmaceutically acceptable derivatives thereof, may also be formulated to be targeted to a particular tissue, receptor, or other area of the body of the subject to be treated. Many such targeting methods are well known to those of skill in the art. All such targeting methods are contemplated herein for use in the instant compositions. For non-limiting examples of targeting methods, see, e.g., U.S. Patent Nos.
• liposomal suspensions including tissue-targeted liposomes, such as tumor-targeted liposomes, may also be suitable as pharmaceutically acceptable carriers.
• tissue-targeted liposomes such as tumor-targeted liposomes
• liposome formulations may be prepared according to methods known to those skilled in the art.
• liposome formulations may be prepared as described in U.S. Patent No. 4,522,811. Briefly, liposomes such as multilamellar vesicles (MLV's) may be formed by drying down phosphatidyl choline and phosphatidyl serine (7:3 molar ratio) on the inside of a flask.
• MLV's multilamellar vesicles
• a solution of a compound provided herein in phosphate buffered saline lacking divalent cations (PBS) is added and the flask shaken until the lipid film is dispersed.
• PBS phosphate buffered saline lacking divalent cations
• the compounds or pharmaceutically acceptable derivatives may be packaged as articles of manufacture containing packaging material, a compound or pharmaceutically acceptable derivative thereof provided herein, which is effective for treatment, prevention or amelioration of one or more symptoms of the diseases or disorders, supra, within the packaging material, and a label that indicates that the compound or composition, or pharmaceutically acceptable derivative thereof, is used for the treatment, prevention or amelioration of one or more symptoms of the diseases or disorders, supra.
• Packaging materials for use in packaging pharmaceutical products are well known to those of skill in the art. See, e.g., U.S. Patent Nos. 5,323,907,
• Examples of pharmaceutical packaging materials include, but are not limited to, blister packs, bottles, tubes, inhalers, pumps, bags, vials, containers, syringes, bottles, and any packaging material suitable for a selected formulation and intended mode of administration and treatment.
• a wide array of formulations of the compounds and compositions provided herein are contemplated as are a variety of treatments for any disease or disorder described herein.
• the physician will determine the dosage regimen that is most appropriate according to a preventive or curative treatment and according to the age, weight, stage of the disease and other factors specific to the subject to be treated.
• the pharmaceutical compositions in other embodiments, should provide a dosage of from about 0.0001 mg to about 70 mg of compound per kilogram of body weight per day.
• Pharmaceutical dosage unit forms are prepared to provide from about 0.01 mg, 0.1 mg or 1 mg to about 500 mg, 1000 mg or 5000 mg, and in some embodiments from about 10 mg to about 500 mg of the active ingredient or a combination of essential ingredients per dosage unit form.
• the amount of active ingredient in the formulations provided herein, which will be effective in the prevention or treatment of a disorder or one or more symptoms thereof, will vary with the nature and severity of the disease or condition, and the route by which the active ingredient is administered.
• the frequency and dosage will also vary according to factors specific for each subject depending on the specific therapy (e.g., therapeutic or prophylactic agents) administered, the severity of the disorder, disease, or condition, the route of administration, as well as age, body, weight, response, and the past medical history of the subject.
• Exemplary doses of a formulation include milligram or microgram amounts of the active compound per kilogram of subject or sample weight (e.g., from about 1 micrograms per kilogram to about 50 milligrams per kilogram, from about 10 micrograms per kilogram to about 30 milligrams per kilogram, from about 100 micrograms per kilogram to about 10 milligrams per kilogram, or from about 100 microgram per kilogram to about 5 milligrams per kilogram).
• compositions provided herein are also encompassed by the above described dosage amounts and dose frequency schedules.
• the dosage administered to the subject may be increased to improve the prophylactic or therapeutic effect of the composition or it may be decreased to reduce one or more side effects that a particular subject is experiencing.
• administration of the same formulation provided herein may be repeated and the administrations may be separated by at least 1 day, 2 days, 3 days, 5 days, 10 days, 15 days, 30 days, 45 days, 2 months, 75 days, 3 months, or 6 months.
• Methods of Use of the Compounds and Compositions Methods of treating, preventing, or ameliorating one or more symptoms of diseases including, but not limited to, migraine, ALS, Parkinson's disease, extra-pyramidal disorders, depression, nausea, restless legs syndrome, insomnia, aggression, Huntington's disease, dystonia, parsomnia and hyperlactinemia using the compounds and compositions are provided. In practicing the methods, therapeutically effective amounts of the compounds or compositions, are administered.
• therapeutically effective amounts of the compounds or compositions, described herein, supra, are administered.
• compositions, described herein, supra, are administered.
• compositions, described herein, supra, are administered.
• Ri is (C 1 -C4) alkyl, substituted (C 1 -C4) alkyl or (C 1 -C4) perflouroalkyl;
• R 2 is alkyl, substituted alkyl, acyl, substituted acyl, halo, heteroalkyl, substituted heteroalkyl, -N0 2 , -N 3 , -OH, -S(O) k Ri 00 , -OR101, -NR102R103, -CONR104R105, -C0 2 Rio6 or -O 2 CRi 07 ;
• R3 and R4 are independently hydrogen, deuterium, fluoro, hydroxy or methoxy
• R5 is hydrogen, (C 1 -C3) alkyl, substituted (C 1 -C4) alkyl or (C 1 -C3) perflouroalkyl;
• R 7 is (C1-C4) alkyl
• Rs is hydrogen, (C1-C4) alkyl, substituted (C1-C4) alkyl, benzyl or substituted benzyl;
• R 9 is (C1-C4) alkyl or benzyl
• Ri 3 is hydrogen or halogen
• R1 0 1-R11 6 are independently hydrogen, alkyl, substituted alkyl, acyl, substituted acyl, aryl, substituted aryl, arylalkyl, substituted arylalkyl, heteroalkyl, substituted hetereoalkyl, heteroaryl, substituted heteroaryl, heteroarylalkyl or substituted heteroarylalkyl; and
• k 0, 1 or 2;
• n 0, 1, 2 or 3;
• Ri is not allyl
• compounds of Formula (I), supra antagonize the 5-HT 2 B, 5-HT 2 A, 5-HT 7 and 5-HT2C receptors, D2 and D3 dopamine receptors and Al and A2 adrenergic receptors.
• compounds of Formula (I), supra agonize the 5-HTID, 5-HTIB and 5-HTi F receptors.
• Ri is (C1-C4) alkyl substituted (C1-C4) alkyl or (C1-C4) perflouroalkyl;
• R2 is alkyl, substituted alkyl, acyl, substituted acyl, halo, heteroalkyl, substituted heteroalkyl, -N0 2 , -N 3 , -OH, -S(O) k Ri 00 , -OR101, -NR102R103, -CONR104R105, -C0 2 Rio6 or -O 2 CRi 07 ;
• R 3 and R4 are independently hydrogen, deuterium, fluoro, hydroxy or methoxy
• R5 is hydrogen, (C1-C3) alkyl or (C1-C3) perflouroalkyl
• R 7 is (C1-C4) alkyl
• Rs is hydrogen, (C1-C4) alkyl, substituted (C1-C4) alkyl, benzyl or substituted benzyl;
• R 9 is (C1-C4) alkyl or benzyl
• Ri 3 is hydrogen or halogen
• R1 0 1-R11 6 are independently hydrogen, alkyl, substituted alkyl, acyl, substituted acyl, aryl, substituted aryl, arylalkyl, substituted arylalkyl, heteroalkyl, substituted hetereoalkyl, heteroaryl, substituted heteroaryl, heteroarylalkyl or substituted heteroarylalkyl; and
• k 0, 1 or 2;
• n 0, 1, 2 or 3 ;
• compounds of Formula (I), supra are used to treat or prevent ALS, Parkinson's disease, extra-pyramidal disorders, depression, nausea, restless legs syndrome, insomnia, aggression, Huntington's disease, dystonia, parsomnia and hyperlactinemia.
• compounds of Formula (I), supra antagonize the 5-HT 2B , 5-HT : 5-HT 7 and 5-HT 2 c receptors, D2 and D3 dopamine receptors and Al and A2 adrenergic receptors.
• compounds of Formula (I), supra agonize the 5-HTi D , 5-HTi B and 5-HTi F receptors.
• co (II), infra are co (II), infra:
• Ri is (C1-C4) alkyl, substituted (C1-C4) alkyl or (C1-C4) perflouroalkyl;
• R2 is alkyl, substituted alkyl, acyl, substituted acyl, halo, heteroalkyl, substituted heteroalkyl, -N0 2 , -N 3 , -OH, -S(0) k Rioo, -OR101, -NR102R103, -CONR104R105, -C0 2 Rio6 or -O 2 CRi 07 ;
• R5 is hydrogen, (C1-C3) alkyl, substituted (C1-C3) alkyl, or (C1-C3) perflouroalkyl;
• R 7 is (C1-C4) alkyl
• Rs is hydrogen, (C1-C4) alkyl, substituted (C1-C4) alkyl, benzyl or substituted benzyl;
• Ri 3 is hydrogen or halogen
• R1 0 1-R11 6 are independently hydrogen, alkyl, substituted alkyl, acyl, substituted acyl, aryl, substituted aryl, arylalkyl, substituted arylalkyl, heteroalkyl, substituted hetereoalkyl, heteroaryl, substituted heteroaryl, heteroarylalkyl or substituted heteroarylalkyl; and
• k 0, 1 or 2;
• n 0, 1, 2 or 3; are used to treat or prevent ALS, Parkinson's disease, extra-pyramidal disorders, depression, nausea, restless legs syndrome, insomnia, aggression, Huntington's disease, dystonia, parsomnia and hyperlactinemia.
• compounds of Formula (II), supra antagonize the 5-HT 2 B, 5-HT 2A , 5-HT 7 and 5-HT 2C receptors, D2 and D3 dopamine receptors and Al and A2 adrenergic receptors.
• compounds of Formula (II), supra agonize the 5-HTi D , 5-HTi B and 5-HTi F receptors.
• the compounds and compositions disclosed herein may also be used in combination with one or more other active ingredients.
• the compounds may be administered in combination, or sequentially, with another therapeutic agent.
• Such other therapeutic agents include those known for treatment, prevention, or amelioration of one or more symptoms associated with migraine, ALS, Parkinson's disease, extra-pyramidal disorders, depression, nausea, restless legs syndrome, insomnia, aggression, Huntington's disease, dystonia, parsomnia and hyperlactinemia.
• any suitable combination of the compounds and compositions provided herein with one or more of the above therapeutic agents and optionally one or more further pharmacologically active substances are considered to be within the scope of the present disclosure.
• the compounds and compositions provided herein are administered prior to or subsequent to the one or more additional active ingredients.
• a FLIPR assay was conducted to monitor agonist selectivity for
• FIG. 1 illustrates potent agonism of the 5-HT2B receptor for the alpha-Me-5HT experimental control (known potent agonist of EC5 0 of 0.20 nM) and pergolide (EC5 0 of 10 nM) a compound withdrawn from the market due to cardiovascular safety concerns.
• Ergotamine (EC5 0 of 160 nM) and dihydroergotamine ((EC5 0 of 260 nM) are several orders of potency less potent that the control and pergolide, but are still agonists.
• MAP0057 (1-methyl-dihydroergotamine) shows no agonist activity.
• Example 3 Competitive antagonization of the 5-HT2B receptor with 1-methyl-dihydroergotamine A FLIPR assay was conducted to monitor antagonist selectivity for
• Antagonist percentage inhibition determinations were obtained by assaying 1-methyl-dihydroergotamine and referencing the Emax control for the 5-HT2B receptor.
• the assay above was performed by GPCR ProfilerTM Service
• FIG. 2 illustrates a reduction in activity with increasing concentrations of 1-methyl-dihydroergotamine showing that
• MAP0057 (1-methyl-dihydroergotamine) is a potent (IC 50 of 16nM) antagonist at the 5-HT 2 B receptor.
• the assay was performed analogously to the assay described in Example
• MAP0057 (1-methyl-dihydroergotamine, IC50 of 460 nM) are significant antagonists of the 5-HT2 C receptor while sumatriptan has no antagonist activity at the 5-HT 2c receptor.
• Example 6 Agonization of the 5-HTIA receptor with 1-methyl- dihydroergotamine A cell based assay (cAMP modulation with HTRF detection) was conducted to monitor agonist activity of test compounds at the 5-HTi A receptor, summarized in FIG. 3. Test compounds were serially diluted to provide a wide concentration range sufficient to calculate EC5 0 . T he cAMP concentration was determined and results are expressed as a percent of the control response to 100 nM 8-OH-DPAT (control agonist). 1-methyl-dihydroergotamine displayed a strong agonist activity with EC5 0 of 16 nM.
• the assay was performed analogously to the assay described in Example 6. Antagonist activity of test compounds at the 5-HT 7 receptor, using serotonin as a control reference agonist, was measured. The results are summarized in FIG,
• Test compounds were serially diluted to provide a wide concentration range sufficient to calculate IC5 0 . The results are expressed as a percent of the control response to 300 nM serotonin. 1-methyl-dihydroergotamine displayed a strong antagonist activity with IC5 0 of 69 nm.
• a membrane based GTPyS assay was conducted to monitor agonist activity of test compounds at the 5-HTi B receptor, summarized in FIG. 5.
• Test compounds were serially diluted to provide a wide concentration range sufficient to calculate EC5 0 . The results are expressed as a percent of activation.
• 5-CT was used as a reference agonist.
• 1-methyl-dihydroergotamine displayed a strong agonist activity with EC5 0 of 1.02 nM.
• the assay was performed analogously to the assay described in Example 10, at the 5-HTi B receptor. The results are summarized in FIG. 6.
• 5-CT was used as a reference agonist.
• 1-methyl-dihydroergotamine displayed a strong agonist activity with EC 50 of 0.45 nM.

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